-Drawing illustrating double May-Thurner syndrome. Coronal and sagittal views showing a compression ( * ) of left common iliac vein in two points respectively by the right common iliac artery (white arrow) and left common iliac artery (grey arrow) against the lumbar spine.

-Drawing illustrating double May-Thurner syndrome. Coronal and sagittal views showing a compression ( * ) of left common iliac vein in two points respectively by the right common iliac artery (white arrow) and left common iliac artery (grey arrow) against the lumbar spine.

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May-Thurner syndrome (MTS) belongs to a group of uncommon vascular syndromes. It consists in left common iliac vein (LCIV) compression between the right common iliac artery (RCIA) anteriorly and the lumbar spine posteriorly. A compression of LCIV by the left common iliac artery (LCIA) or by both iliac arteries were described. We present a rare case...

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... Syndrome (MTS), also known as Cockett syndrome, belongs to the group of abdomino-pelvic vascular compression syndromes. MTS was first described in 1957 as a compression of the left common iliac vein (LCIV) between the right common iliac artery (RCIA) anteriorly and lumbar spine posteriorly ( Fig. 1 ), resulting in chronic venous stasis and thrombosis [1][2] . A compression of LCIV by the left common iliac artery (LCIA) or by both iliac arteries were described [3][4] Several authors suggested the continuous extrinsic pulsations of the RCIA as a pathophysiological mechanism of MTS; this parietal stress may cause endothelial spurs ...

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Background May–Thurner syndrome is a vascular disorder caused by the right common iliac artery compressing the left common iliac vein against the lumbar spine, causing distal venous stasis and potentially leading to fibrous change in the venous wall structure. Although May–Thurner syndrome is most commonly discovered in females upon investigation o...